RT DrJohnKruse: ADHD is often overlooked or misdiagnosed in older adults, whose symptoms may be mistaken for, or exacerbated by, age-related cognitive changes, comorbid medical/psychiatric conditions & psychological issues.
in inattention and/or impulsivity/hyperactivity to merit an ADHD diagnosis. What’s more, the symptoms must impair their functioning in multiple settings . Observations by loved ones can help to document these challenges.
The essential piece of the puzzle, however, is the patient interview. Dr. Goodman says an in-depth clinical interview should document a person’s history of symptoms starting in childhood and continuing through adulthood. ADHD typically begins at a young age and persists chronically throughout a person’s lifetime. It almost always impacts an individual’s professional and family life.
or depression in a person with ADHD who feels overwhelmed already. As a person’s responsibilities increase with age, the impairments of ADHD often become more — not less — apparent.Clinicians evaluating older adults for ADHD should ask the following critical question:Self Test: Could You Have an Executive Function Deficit?If the patient replies “No<,” ADHD is probably not the correct diagnosis. An adult with ADHD will typically reply, “I can’t remember never being this way.
If a patient complains that his or her cognitive issues have developed only in the previous few years, ADHD may be ruled out, and other possible causes investigated, Dr. Goodman says.
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